National Provider Identifier [NPI]: |
1326087917 |
Last Name Of The Provider |
HAGER |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1791 E FIR AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937203840 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
177 |
Number Of Services |
227692 |
Number Of Medicare Beneficiaries |
896 |
Total Submitted Charge Amount |
6731124.64 |
Total Medicare Allowed Amount |
2367343.23 |
Total Medicare Payment Amount |
1849026.52 |
Total Medicare Standardized Payment Amount |
1836387.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
82 |
Number Of Drug Services |
210191 |
Number Of Medicare Beneficiaries With Drug Services |
385 |
Total Drug Submitted ChargeAmount |
5069028.17 |
Total Drug Medicare AllowedAmount |
1741650.45 |
Total Drug Medicare PaymentAmount |
1360829.09 |
Total Drug Medicare Standardized Payment Amount |
1360829.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
17501 |
Number Of Medicare Beneficiaries With Medical Services |
894 |
Total Medical Submitted Charge Amount |
1662096.47 |
Total Medical Medicare Allowed Amount |
625692.78 |
Total Medical Medicare Payment Amount |
488197.43 |
Total Medical Medicare Standardized Payment Amount |
475558.85 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
123 |
Number Of Beneficiaries Age 65 to 74 |
381 |
Number Of Beneficiaries Age 75 to 84 |
284 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
548 |
Number Of Male Beneficiaries |
348 |
Number Of Non Hispanic White Beneficiaries |
565 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
51 |
Number Of Hispanic Beneficiaries |
210 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
579 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
317 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
44 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.0746 |